Provider Demographics
NPI:1992577068
Name:MEARS, LAUREN ELIZABETH (LPC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:MEARS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 SUMMER E
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-1652
Mailing Address - Country:US
Mailing Address - Phone:757-256-7330
Mailing Address - Fax:
Practice Address - Street 1:CUMBERLAND HOSPITAL
Practice Address - Street 2:9407 CUMBERLAND RD
Practice Address - City:NEW KENT
Practice Address - State:VA
Practice Address - Zip Code:23124
Practice Address - Country:US
Practice Address - Phone:804-966-2242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012920101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional